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Bicornuate Uterus C0266387

Published: July 22, 2026Updated: August 20, 2026

A bicornuate uterus is heart-shaped with two horns, a congenital uterine anomaly. May increase pregnancy risks but many people have normal pregnancies with monitoring.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
N94.9
ICD-11
GA00.0
Body system
reproductive
Severity
mild
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(reproductive)

Mild symptoms that may not significantly impact daily life.

Frequency: Common at all stages

Recurrent pregnancy loss

(reproductive)

Abnormal uterine bleeding

(reproductive)

Pelvic pain

(reproductive)

Severe menstrual cramps

(reproductive)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Lifestyle modification and dietary intervention

Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.

lifestyle
2

Preconception counseling and evaluation

Comprehensive assessment of uterine anatomy and reproductive history to establish baseline and develop pregnancy management plan.

monitoring
3

3D ultrasound or MRI hysterosalpingography

Advanced imaging to precisely characterize uterine malformation and guide treatment decisions.

procedure

Additional treatment options

Strassman metroplasty

Reconstructive surgery to unify the bicornuate uterine cavity, improving structural integrity for pregnancy support.

surgical

Progesterone supplementation in pregnancy

Hormonal support therapy to reduce risk of preterm labor and maintain pregnancy in bicornuate uterus.

complementary

Fertility counseling and emotional support

Psychological support addressing anxiety about fertility outcomes and pregnancy concerns associated with uterine anomalies.

psychological

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Bicornuate Uterus C0266387?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

American College of Obstetricians and Gynecologists. Practice Bulletin No. 193: Gynecologic Management of Uterine Anomalies. Obstet Gynecol. 2020;135(3):e90-e103.

guideline2020
2

Ludwin A, Ludwin I, Bhagavath B. Uterine Anomalies: Diagnosis and Classification. Best Pract Res Clin Obstet Gynaecol. 2022;78-79:45-62.

review2022
3

Chan YY, Jayaprakasan K, Tan A. Reproductive Outcomes in Women with Congenital Uterine Anomalies: A Systematic Review. J Pediatr Adolesc Gynecol. 2019;32(5):489-500.

clinical_trial2019
4

Homer HA, Li TC, Cooke ID. The Septate Uterus and Bicornuate Anomalies: A Review of Management Strategies. Fertil Steril. 2021;116(3):638-651.

meta_analysis2021

Medication Comparisons

Compare medications used to treat Bicornuate Uterus C0266387. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy